WEST COAST SPORTS MEDICINE FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- WEST COAST SPORTS MEDICINE FOUNDATION (EIN 95-4497009)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202133139349303763
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T13:30:11-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550874215 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBACK LEE & COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12400 WILSHIRE BLVD STE 1275 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954497009 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST COAST SPORTS MEDICINE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 3108207600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12400 WILSHIRE BLVD NO 1275 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR KEITH S FEDER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3108207600 | PhoneNum |
| Signature | 2021-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | KEITH S FEDER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DERRICK LEE | PreparerPersonNm |
| PTIN | P00449776 | PTIN |
| Phone | 3108207600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH FEDER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12400 WILSHIRE BLVD STE 1275 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $827,685 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WCSPORTSMED.COM | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | FOUNDATION | OtherOrganizationDsc |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ORTHOPEDIC SPORTS MEDICINE RESEARCH AND TRAINING | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 36 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $770,341 | PYContributionsGrantsAmt |
| CY Contributions Grants | $657,420 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,806 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,896 | CYInvestmentIncomeAmt |
| PY Other Revenue | $197,280 | PYOtherRevenueAmt |
| CY Other Revenue | $19,964 | CYOtherRevenueAmt |
| PY Total Revenue | $970,427 | PYTotalRevenueAmt |
| CY Total Revenue | $680,280 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $444,349 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $315,984 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $53,107 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $309,204 | PYOtherExpensesAmt |
| CY Other Expenses | $192,745 | CYOtherExpensesAmt |
| PY Total Expenses | $753,553 | PYTotalExpensesAmt |
| CY Total Expenses | $508,729 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $216,874 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $171,551 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $570,724 | TotalAssetsBOYAmt |
| Total Assets EOY | $808,952 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,363 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $105,725 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $518,361 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $703,227 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AT A TIME WHEN MANY OF THIS COUNTRY'S HIGH SCHOOL STUDENTS ARE AT RISK FROM THE NEGATIVE INFLUENCES OF SOCIETY, HIGH SCHOOL SPORTS PROVIDE A VALUABLE MODEL FOR SOCIAL INTERACTION AND TEAM BUILDING. THE WEST COAST SPORTS MEDICINE FOUNDATION TEAM TO WIN PROGRAM IS MORE IMPORTANT TODAY THAN EVER BEFORE. DUE TO THE RISE IN UNEMPLOYMENT, THE RESULT HAS BEEN THE LOSS OF HEALTH INSURANCE FOR MANY FAMILIES, IN ADDITION TO THE RISING COST OF INSURANCE FOR THOSE WHO ARE STILL ABLE TO AFFORD INSURANCE. THE WCSMF TEAM TO WIN PROGRAM IS EVEN THAT MORE CRITICAL TODAY, TO THE STUDENTS OF TEAM TO WIN. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $310,863 | ExpenseAmt |
| Revenue | $827,685 | RevenueAmt |
| Desc | THE WCSMF IS A RESEARCH AND EDUCATION FOUNDATION THAT WAS FOUNDED IN 1994 IN LOS ANGELES, CALIFORNIA TO PROVIDE AT RISK HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY TO PARTICIPATE IN INTERSCHOLASTIC SPORTS, REDUCE, MITIGATE AND PROVIDE TREATMENT FOR MUSCULOSKELETAL, SPINAL AND BRAIN RELATED INJURIES THROUGH PROPER, RECOGNITION OF THE TYPE OF INJURIES, THE SEVERITY OF INJURIES AND PROACTIVE ATHLETIC TRAINING, PROMOTE FITNESS, REDUCE THE PREVALENCE OF OBESITY. THE PROGRAM OPERATES AT NO COST TO SCHOOLS AND STUDENT ATHLETES THAT PARTICIPATE IN THE TEAM TO WIN PROGRAM. | Desc |
| Total Program Service Expenses | $310,863 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 36 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBACK LEE & COMPANY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3108207600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12400 WILSHIRE BLVD STE 1275 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| KEITH S FEDER MD | ||||||
| PRESIDENT AND DIRECTOR | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CAROL FREY MD | ||||||
| SECRETARY AND DIRECTOR | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD KATZ | ||||||
| CHAIRMAN OF THE BOARD | 0.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM HOHL MD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PETER BASTONE | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL SCHROEDER ESQ | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE SHORT ESQ | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL WHITNEY | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN CARLO FUNICELLO | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| HARVEY ENGLANDER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TIM SHAHEEN | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ARTHUR BERG | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MITCH HUBERMAN | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH FEINBERG | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JILL SLEIGHT | ||||||
| DIRECTOR | 40.00 | Yes (X) | $60,881 | $0 | $0 | |
| KRIS RONE | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MOIN SALAH MD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DEBBIE SPANDER | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RHONDA FEINBERG | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARC ISENBERG | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AKASH BAJAJ MD | ||||||
| DIRECTOR | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $60,881 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $657,420 | AllOtherContributionsAmt |
| Total Contributions | $657,420 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,896 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,896 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $167,369 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $147,405 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,964 | TotalRevenueColumnAmt |
| Exclusion | $19,964 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,964 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,881 | TotalAmt |
| Program Services | $20,291 | ProgramServicesAmt |
| Management And General | $20,292 | ManagementAndGeneralAmt |
| Fundraising | $20,298 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,817 | TotalAmt |
| Program Services | $150,058 | ProgramServicesAmt |
| Management And General | $60,569 | ManagementAndGeneralAmt |
| Fundraising | $20,190 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,286 | TotalAmt |
| Program Services | $14,183 | ProgramServicesAmt |
| Management And General | $6,732 | ManagementAndGeneralAmt |
| Fundraising | $3,371 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,350 | TotalAmt |
| Program Services | $3,350 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,373 | TotalAmt |
| Management And General | $24,373 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,359 | TotalAmt |
| Program Services | $52,267 | ProgramServicesAmt |
| Management And General | $6,372 | ManagementAndGeneralAmt |
| Fundraising | $720 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,968 | TotalAmt |
| Program Services | $7,968 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6 | TotalAmt |
| Program Services | $3 | ProgramServicesAmt |
| Fundraising | $3 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,523 | TotalAmt |
| Program Services | $373 | ProgramServicesAmt |
| Management And General | $5,150 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,031 | TotalAmt |
| Program Services | $12,544 | ProgramServicesAmt |
| Management And General | $13,053 | ManagementAndGeneralAmt |
| Fundraising | $6,434 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $22,829 | $22,829 | |
| SPONSORSHIP & PROMOTION | $11,000 | $11,000 | |
| CONSULTING | $8,779 | $8,779 | |
| BANK SERVICE | $4,856 | $4,856 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,671 | TotalAmt |
| Program Services | $7,218 | ProgramServicesAmt |
| Management And General | $3,362 | ManagementAndGeneralAmt |
| Fundraising | $2,091 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,729 | TotalAmt |
| Program Services | $310,863 | ProgramServicesAmt |
| Management And General | $144,759 | ManagementAndGeneralAmt |
| Fundraising | $53,107 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,161 | BOYAmt |
| EOY | $395,967 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,785 | BOYAmt |
| EOY | $252,855 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,486 | BOYAmt |
| EOY | $41,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $192,875 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $172,167 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,560 | BOYAmt |
| EOY | $20,708 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,732 | BOYAmt |
| EOY | $97,927 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,724 | BOYAmt |
| EOY | $808,952 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,949 | BOYAmt |
| EOY | $53,683 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,414 | BOYAmt |
| EOY | $52,042 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,363 | BOYAmt |
| EOY | $105,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,361 | BOYAmt |
| EOY | $703,227 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,361 | BOYAmt |
| EOY | $703,227 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,724 | BOYAmt |
| EOY | $808,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $171,551 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,710 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$395 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,005,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,096,181 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $997,667 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,368,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,042,742 | CurrentTaxYearAmt |
| Total | $5,510,045 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,005,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,096,181 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $997,667 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,368,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,042,742 | CurrentTaxYearAmt |
| Total | $5,510,045 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,676,117 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,833,928 | PublicSupportTotal170Amt |
| Total Support | $5,510,045 | TotalSupportAmt |
| Public Support CY170 | 0.69580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.69930 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,260 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,255 | DepreciationAmt |
| Book Value | $8,005 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,912 | DepreciationAmt |
| Book Value | $12,703 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,708 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 258.92 SHARES OF VANGUARD 500 INDEX FUND ADMIRAL SHARES | Desc |
| Book Value | $97,927 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $97,927 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED VACATION | $3,211 |
| PPP LOAN PAYABLE | $48,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,042 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,079,312 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $13,710 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $385,322 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $399,032 | RevenueNotReportedAmt |
| Revenue Subtotal | $680,280 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $680,280 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $894,446 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $385,322 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $395 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $385,717 | ExpensesNotReportedAmt |
| Expenses Subtotal | $508,729 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $508,729 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE PROVISIONS OF FASB ASC 740-10, INCOME TAXES AND RELATED SUBSECTIONS. ACCORDINGLY, THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS, IF ANY, BY RECORDING A LIABILITY FOR UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, IN ITS TAX RETURNS. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED BY THE APPROPRIATE TAXING AUTHORITIES. THE ORGANIZATION DOES NOT BELIEVE THAT ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS AND ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING FINANCIAL STATEMENTS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIFFERENCE IN BOOK/TAX DEPRECIATION EXPENSE 395. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPRING WINE EVENT | Event1Nm |
| Gross Receipts Event1 | $94,217 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $94,217 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $82,979 | OtherDirectExpensesEvent1Amt |
| Event2 | FALL AUCTION | Event2Nm |
| Gross Receipts Event2 | $73,152 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $73,152 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $64,426 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $167,369 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $167,369 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $147,405 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $147,405 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $19,964 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | KEITH FEDER, MD AND CAROL FREY, MD, WHO ARE OFFICERS IN THE ORGANIZATIONS, ARE HUSBAND AND WIFE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PRESIDENT CAREFULLY REVIEWS THE ACCURACY OF THE INFORMATION IN FORM 990 PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE DOCUMENTS ARE AVAILABLE UPON REQUEST |
| FORM 990, PART XI, LINE 9: | DIFFERENCE IN BOOK/TAX DEPRECIATION EXPENSE -395. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR THE AUDIT COMMITTEE TO REVIEW THE AUDITED FINANCIAL STATEMENTS HAS NOT CHANGED FROM PRIOR YEARS. |